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HomeMy WebLinkAbout13-13801 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oozo 13801 BUILDING PERMIT Permit Number: 13801 Address: 6234 SILVER OAKS DR Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS Est. Value: Parcel Number: 03-26-21-012A-00000-0130 Improv. Cost: 6,025.00 Date Issued: 1/28/2013 Name: BERRY, JEFFREY& JUDITH Total Fees: 105.00 Address: 6234 SILVER OAKS DR Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/28/2013 Phone: (813)714-3271 Work Desc: REPLACE 11 WINDOWS SIZE/SIZE L . � �� ����� 1 � ��- :- I 3 � FOOTER BOND DUCTS INSULATED SEWER MISC._ ROUGH ELECTRIC LINTEL MISC MISC_ 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC REINSPEC'RON FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c) when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to rewrd a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. a ONT R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-81:)-780-0021 Building Departrnent Date Raeefved Phone Contactfor Permitting / Er Er rt rr rsi tr Ownefs Name �� U�=�s1 �� Owner Phone Numbar w 3����r�2�� Owner's Address �oZ.�} �LYER ORKS �'R� Owner Phone Number � Fee Simple Titleholder Name � Owner Phone Number �__ � Fee Simple Titleholder Address � JOBADDRESS �Z3� yLVER ��KS �• � LOT# C'� SUBDIVISION �V� (J�5 PARCELID#�3���ZI�OIZ�,�dQ����OI� (OB'fA1NED FROM PROPERTY TAX NOTIGE) WORK PROPOSED e NEW CONS7R e ADDIALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER � TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q �-� DESCRIPTION OF WORK 1��� l �-=���`S �� �R 'SSZE � BUILDING SIZE � SQ FOOTAGE� HEIGHT � TTR�T!'rn�!"P'r!'TTPrR�r!" T�R�TTr�'/'f� rtRTTrr QBUILDING 3 /_/!�� �'' VALUATION OF TOTAL CONSTRUCTION �j/ ��y)r �O v '/L v- �f'� �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ n �,.��,f-j�/ ' n/" �h v ��w�n ` / QMECHANICAI $ VALUATION OF MECHANICAL INSTALLATION � C�'II Q V l '��'O�'f " V � ��\Y �GAS Q ROOFING Q SPECIALTY Q OTHER ��7j; �. t <� ~ �% FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA DYES NO 3 �� 'w'.i..'w6.L�..S.S.: wL.` �..:i P.'.ww�.� � �..��.:.:.:.�wi. BUILDER +y / � ��COMPAN`f v�S� �S, �K�• � SIGNATURE �V � REGISTERED Y/ N FEE CURREh Y/N Address �� 3 A�.�� fl� �� � License# lipCi(ZS'r7�l6j � ELECTRICIAN COMPANY � SIGNATURE REGISTERED Y/ N FEE CURREI. Y!N Address License# � PLUMBER COMPANY � SIGNATURE RECa1STERED Y/ N FEE CURRE� Y 1 N Address License tf � MECHANICAL COMPANY � SIGNATURE REGISTERED Y 7 N FEE CURRE� Y/N Address License fk � OTHER COMPANY � SIGNATURE REGISTERED Y I N FEE CURREA Y/N Address License# � t 1 E 1 l 1 E 1 ! 1 / I 1 1 1 [ 1 { 1 1 1 F 1 �1 1 I 1 f 1 t 1 i 1 l 1 I t 1 1 1 t 1 f 1 1 1 E 1 1 E 1 1 1 [1 ! 1 1 1 [1 f f 1 1 1 RESIDENTIAL Attach(2)Plot P�ans;(2)sets of Building Plans;(1)set of Energy Fortns;RA-W Permit for new construction. Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans.Stormwater Plans w!Silt Fence installed, Sanitary Facilities 8 1 dumpsler:Site Work Permit for subdivisions/large projects COMMERCIAL Atlach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-0-W Pertnif for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster Site Work Pertn@ for all new projects.All commercial requirements must meet complrance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW conslruction. �.i.�i..i-i-f-4-i�F��-1- i-Ff-1-�{-F�4.i.i.•i.�4-r-1-l-i- f-4•t-id--i.i-i.i-�i.�-i-1-H-i�d-i�-f-i�- Diredlons: Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencament is required. (AIC upgrades over=7500) " Agent(for the conVactor)or Power of Attorney(for the owner)vrould be somaone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for complianca with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,wili be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"ce�tificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): If vatuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—IHomeowners Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owne�',I certify that I have obtained a copy of the above described document and promise iri good faith to deliver it to the"owne�'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate anci that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. i also certiiy that 1 understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/WastewaterTreatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Watervvays. - DepaRment of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage pian addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill wiil not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit applicaGon,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shatl issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commanced. An extension may be requested, in writing,from the Building O�cial for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03 I � !G—.. OWNER OR AGENT� CONTRACTOR= G __ Subs bed nd swo t affi ed)before this Subscribed and swo t (o afirmed) org me this �_�-(' by !1 �r. -22-3 by QA ✓. --- �Wh �Iare personally known to m or haslhave produced h s! re p¢rsonalty known to m or haslhave produced L-. L.l�feti�._____as identification. �U Cf?�5--_______as idenUfication. lic Notary Public co ' io„ �* mmfss--� Commi�i "�!+*� "' JACQUELINE BOGES_ _ ' p res becember 12,2014 :•: :� Commiss n��040520 �-- w� �� -- -- - � " — Na ��Q ' '�� �� � Nameof ��^ y�y�gpQ3grr701t3 �nu�`` � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS C�ntract� r/Homeowner: � �' V� `` �� ��'�'"� �. Date Received: �� 2 2 � �.� Site: �p2�3� �Sr J(/� �GZ�S �r` Permit Type: l��IcCC`F' ( l (�c�t�4�5 ',`�! Ze�C�r Zr� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. _� Kal n S ' — lans Examiner Date Contractor and/or Homeowner (Required when comments are present) NDOW � ooR InstaCting �I"rust One zNindow at a 7ime 6025 US HWY 301 NORTH *TAMPA,FLORIDA 33610 (813)626-7676 REPLACEMENT CONTRACT CLIENT NAME J Er� �( J U,t,)S'� ����. DATE PHONE �l 3 7BI�7�eZ CJ uAy STREET �PZ3� �YF� �S �1Z'�V�- JOB NAME BJ3 ���7�-327� CJ�"� CITY,STATE,ZIP Z f�TLLS � 337"l2 JOB LOCATION We propose to do the following: 1. Minor patch and repair to plaster and stucco as needed due to removal of the old window units. 2. Seal the inside and outside with white/bronze acrylic polyurethane caulk. 3. Haul off old window frames, glass and debris directly related to the removal of the old window units. 4. No touch up painting to be done by Canollwood Window &Door, Inc. installers. 5. No final glass cleaning to be done by Carrollwood Window & Door, Inc. 6. Carrollwood Window & Door, Inc. and our employees shall not be deemed responsible for extra cost associated to prior damage to sills, plaster, stucco, framed openings, or other construction materials as a result of water, termites, other subs, settling cracks, etc. 7. Note any special conditions: ��'LE �� k/�/.l � �GT'S S��GY� S�fI�S � �f_.S'cr?�8� on/ aud� � Zalyy2 �...� 1 � �z After acceptance by all parties, this document shall be considered a binding contract. In the event that it shall become necessary to employ an attorney to collect any amount due under this contract, thE�n Client will be liable for attorney's fees and costs incurred in such collection. All prices are based on our current price schedule and will remain firm for 30 days. We propose to furnish material and labor complete in accordance with above specifications for the sum of: ($ (,42� 95 ). Payment to be made as follows: 50% deposit upon placement of the order with the balance due in full upon completion of the work. All material is to be as specified. All work to be completed in a professiona!manner according to standard,practices. Any alteration or deviation from above specifications involving eztra costs will be executed only upon written orders and will become an extra charge above the estimate. Acceptance of Proposal: the above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature: C���`''' � � i Signature: i iiiiii iiiii iiiii iiiii iiiii�iiii iiiii iiiii iiiii i�iii iiii iiii 2013011234 Rept:1490268 Ree: 10.00 DS: 0.00 IT: 0.00 01/18/13 K. Kraengel , Dpty Clerk NO'ITCE OF COMMENCEMENT PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER Permit No. , 01�1a�13 8815 1 °f 1352 Property Identification No.d3-�10-2/^�12A1 Q�G1d0-O!30 OR BK P� 7�UNDERSIGNID Lereby gives notice thaR improveme�will be made to cxttain real properiy,and in accordance with Section 713.13 of the Florida Statutes,the foltowing infotmaaon is provided in this NOTICE OF CO�NCEMEN'P 1.Description of property(l�gnl : SSL1/FiQ � F �/� L-� �3 a)SVeet Address: flR. 2.General descriptioa of improv�_ E /( ZE 3.o,�8����a�_�E��`�uasn! 3E�y �23y Ss�vF.2 C�+.xs � Z�tY�us, r 3354�2 b)Name and address of fee simpNE�otder(if ot6er than owner) c)I�erest in ProP�Y a.coa��o��� C�v�san(/�s' T,�c. l�l.�/3 yA�� Y�e, %��� ,�S 33G/S b)Telephone No.: 1 Fa�c No.(Opt) 5.Stuery Information a)Name and address: b)Amomt of Bond: c)Telephone No.: Fax No.(OpL) 6.Lender a)Name and addcess: Phone No_ 7 Iderrtity of person within the State of Florida desigoated by owner upon whom notices or other documents may be served: a)Name and address: b)Telepfione No.: Fax No.(Opt) 8.In addition to himsel�owper desigo�the following person to�eceive a copy of the Lieno�s Notice as provided in Section 713 13(1)(b),Florida Statute.s: a)Name and address: b)Tekphone No.: Fa�c No.(f�t) 9.Expiration da6e of Natice of Commencement(the expiration date is one year from tbe date of recording unless a different date is SpeciSed): VYARNING TO OWNER: APIY PAYMENTS MADE BY THE OWNP.R AFTER THE E71�IRATION OF THE NOTICE OF CObII11F,NCEMRNT ARE CONSIDERED IIKPROPER PAYA�IVTS UNDLR CHAP1'ER 713,PAR1'I,SF.Cl'ION 713.13, PLORIDA STATUTFS Ad�ID CA�1 RESQLT H�i YOIIR PAYH�IG TWICE POR IIIRPROVEdYIFXFS TO YOUR PROPEiiTY. A N077CB QP MtAT BERECORDED AlYD YQ6TED tHY 1�JOBSICE BSFORE THE FIRST Il�FSPF.(.TION IF YOII IIV�iD TO OBTAIlY PH�iA1�iCHVG,CONS[3I.T YODB LE1�iDLB OR AN ATTORNEY BEFORE CObII1�VCIl4G WOItK OB RECORDING YOUR NOTICE OF COM1YiEiVCE1�'1'. 3TATl OF FIARIDA COUNl'Y OF P.SSCO o eeuerw� s}1�! needpffir Ri' xpri!�mgr AIDt Name iego" � trumeat wa4 aclmowledged befoie me this�day of � 20�by "t�7 G as of authority,e.g.officer,trastee,attomey in 1'act)for �(name of pariy oa b w �nt waa exeated)_ , � �.�1 Personally Known_OR Prodnced Ideutifiwtion_ Notazy SignaUue J'�i� � Type of Ide,�'t�"ication Prodpced Name(prmt) �v 1Jt Tll �, ���'«r Verification piusuant to Sectian 92.525,Florida Statutes Under penalties 'ury,i�(�re that I havc read the foregoing and that tI�e facts sFated in it ace trne w the best of ury knowledge and beiief. - ! w,o 5��,;og pyo -- — «� FORMSMOC,m8W7 ���hY,.� YV���fMJIN7 ny y,; ¢;�: MY Ct�4MISSION M EE 1974t8 " EXPi9ES:Mey 9,2016 .,�;' ` Bonded 71�ru Ndary PubGc UndervrtKws V'�",t�yy t� � . � , '�:.•0,- ' f .:���� '' t:� '' , ,. + �._ � �'t y l'(," ' '� , � , ��1, 1`.. , � . . .�:�r�;. 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' ' t t rs�r�r�r� f:ar����i1,N��i7p..��c� BCIS Home Log In User Registra[ion � Hot 7op�cs Submit Surcharge S[a[s&Fac[s Publicatlons FBC StaH BCIS Site Map Links Search Busines �",�� Professi���� Product Approval USER.Publi[User �'�'t�UI�t10�1 / •� Produc[Aooroval Menu>Produc[or Aoolicat(on Search>Aooli�h15t>Adplication Detsil f ��II� Application Type f Rev�sionRlO I f Code Version 2010 � Application Status Approved *Approved b�DCA. Approvals by DCA shall be reviewed and ratlfied by tHe POC and/or the Commission if necessary. Comments f Archived Product Manufacturer PGT Industries Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ezt22318 d ru a rk @ pgti n d ustri es.co m Authorized Signature Jens Rosowski irosowski@pgtindustries.com � Technical Representative ]ens Rosowski Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext21140 jrosowski@pgti ndustries.com ~,�� ., . Quality Assurance Representatfve '� . • /``� Address/Pho�e/Emafl =�'i� r `�J `� .%'4� � � Category W indows � Subcategory Single Hung _ /� Compliance Method Certification Mark or Listing CertiFlcation Agency Keystone Certificatlons,Inc. Validated By Steven M. Urich, PE _ Validation Checklist-Hardcopy Received Referenced Standard and Year(of Standard) Standard Year AAMA/WDMA/CSA 101/IS2/A440 2005 AAMA/WDMA/CSA 101/IS2/A440 2008 ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002 ASTM E1886 2005 ASTM E1996 2002 ASTM E283 2004 ASTM E330 2002 Equlvalence of Product Standards Certified By http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsbCUITILe120... 12/11/2012 r ioriaa tsuiiamg �,ode Unline Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 08/16/2012 Date Validated 08/21/2012 Date Pendfng FBC Approval Date Approved 08/23/2012 Summary of Products FL# Model,Number or Name Description 1435.1 SH-200 Prev.4000 Aluminum Sin le Mun Wfndow Inc. Pass-Thru Limits of Use Certification Agency Certificate Approved for use in HVHZ: No F11435 R10 C CAC SH-200 Certification B.odf Approved for use outside NVHZ:Yes Quality Assurance Contrad Expiratfon Date Impact Resistant: No 02/16/2013 Design Pressure: N/A Installation Instructions Other: Please see the Installation Instructions for FL1435 R10 II SH-200 b.odf design pressure,size and anchorage Information.The Verifled By. A. Lynn Miller, PE 58705 Pass-Thru version was not tested for water infiltratio�. Created by Independent Third P�rty. No Evaluatio�Reports FL1435 R10 AE Prod Eval-SH 2O0.odf Created by Inde endent Third Party. No 1435.2 SH-400 Vinyl Single Hun Window Umits of Use Certiflcation Agency Certiflcate Approved for use in FIVHZ: No FL1435 R10 C CAC 190-777.�df Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 01/21/2015 Design Pressure: N/A Installation Instructions Other: Please see the Installation Instrud(ons for FL1435 R10 II SH-400.Ddf design pressure,size and anchorage Information. Verifled By: A. Lynn Miller, PE 58705 Created by Independent Third P3rty: No Evaluation Reports FL1435 R10 AE Prod Eval-SH 400.pdf Created by Independent Third Party: No 1435.3 SH-500 WlnGuard Vinyl Sin le Hung Wfndow Limits of Use Certification Agency Certtflcate Approved for use in HVHZ: No FL1435 R30 C CAC SH-500 Certification B.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 08/27/2014 Design Pressure: N/A Installation Instructions Other: Please see the Installation Instructlons for FL1435 R10 II SH-500.�df design pressure,size and anchorage information. VeriFled By: A. Lynn Miller, PE 58705 Created by Independent Third Party: No Evaluation Reports FL1435 R10 AE Prod Eval-SH 500.odf Created b Inde endent Third Pa • No 1435 4 SH-800 WinGuard Multistory Aluminum Single Hung Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL3435 R10 C CAC 190-427.O.�df Approved for use outside HVHZ:Yes FL3435 RSO C CAC 190-428.O.odf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: N/A 09/07/2013 Other: Please see the Installatfon Instructions for Installatton Instructions design pressure, size and anchorage information. FL3435 R10 II SH-800.odf Verifled By: A. Lynn Miller, P.E. 58705 Created by Independent Third Party: No Evaluation Reports FL1435 R10 AE Prod Eval SH-800.odf Created b Inde endent Third Pa . No 1435.5 SH-2100 Vinyl Sin le Hung Window Limits of Use Certiflcation Agency Certiftcate Approved for use in HVHZ: No FL1435 R10 C CAC SH-2100 Certifications B.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 03/18/2013 Design Pressure: N/A Installation Instructions Other: Please see the Installation Instructlons for FL1435 R10 II SH-2100.�df design pressure, size and anchorage Information. Verifled By: A. Lynn Miller, P E. 58705 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsbCUITI<:e120... 12/11/2012 r ionaa tsuiiaing Lode Unline Page 3 of 3 Created by Independent Third Party: No Evaluation Reports FL1435 R10 AE Prod Eval-SH 2100.odf Created b Independent Third Party: No 1435.6 SH-2200 Vinyl Single Hung Window Limits of Use Certiflcation Agency Certificate Approved for use in HVH2: No FL1435 R10 C CAC SH-2200 Certifications.�df Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/21/2013 Design Pressure: N/A Installation Instructions Other: Piease see the Installatfon Instrudlons for FL1435 R10 II SH-2200.odf design pressure,size and anchorage informatlon. VerlFled By: A. Lynn Miller, P.E. 58705 Created by Independent Third Party: No Evaluation Reports FL3435 R10 AE Prod Eval SH-2200.odf Created by Independent Third Party: No Back Next ConWCt Us: 1940 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer Coovrlaht 2007-2010 Sta[e of florida. Privaw Statement::Accessibiliri:ita[ement Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address rcleased in response to a public-records request,do not send elec[ronic mall to this entity Instead,rnnWR[he office by phone or by tadltional mail.If you have any questlons,.please contac[850.487.1395. *Pursuant to Sectlon 455.275(1),Florlda Statutes,efFec[Ive OROber 1,2012,Iicensees Iicensed under Chapter 455,F.S.must provide the Department with an email address if they have one.7he emails provided may be used for offidal rnmmunlcation with the Iicensee.However email addresses are public remrd.tf you do not wish to supply a personal address,please provide the Department wfth an email address which can be made available to the public. 7o determine If you are a licensee under Chapter 455,F.S.,please dick here Product Approval Accapts: � � � � secur'j •att.rnia:s' http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsbCUITK.e120... 12/11/2012 i � ���a�� � � � . 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' ' � 1 r ' F,����� fir�,c�tv BCIS Home Log In � User Registre[lon ,Ho[Topics Submit Surcharge Sta[s&Fac[s Publications FBC SWff BCIS Site Map Links Search �:� Busines ��} Professi��f�) Product Approval USER:Public User Reguldti0n , -'" � Produc[Aooroval Menu>Product or Aoolication Sear�h>Aooli,�.ation Li�j>Application, tail ���� Appllcation Type ReviOsionR9 Code Verslon 2010 Applfcation Status ( Approved I ! *Approved by DCA. Approvais by DCA shall be reviewed and 7 ratified by the POC and/or the Commisslon if necessary. Comments �i Archived , Product Manufacturer Industries Address/Phone/Emaii 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext22318 druark@pgtlndustries.com Authorized Signature Jens Rosowski � jrosowski @ pgti ndustries.com � Technical Representative Jens Rosowski � Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext21140 jrosowski@pgtlndustries.com Quality Assurance Representative k Address/Phone/Emait � , ' � � � '�Z� ^ ,� ± � ` Category Windows - � . � f i;.', Subcategory Fixed � ` ;f'�-�-� . �i, f Compliance Method Certiflcation Mark or Listing Certification Agency Keystone Certiflcations,Inc. Validated By Steven M. Urich, PE __ Validatlon Checklist- Hardcopy Recefved Referenced Standard and Year(of Standard) Staadard Year AAMA 506 2008 AAMA/WDMA/CSA 101/IS2/A440 2005 AAMA/WDMA/CSA 101/IS2/A440 2008 ANSI/AAMA/NWWDA 101 I.S.2 1997 ASTM E1886 2002 ASTM E1886 2005 ASTM E1996 2002 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL5012 R9 Equiv 1996-OS to 02 Equiv�df http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtU0E2x88XL... 12/11/2012 Florida Building Code Online Page 2 of 4 Product Approval Method Method 1 Option A Date Submitted 06/O6/2012 Date Vatidated 06/li/2012 Date Pending FBC Approval Date Approved 06/19/2012 Summary ot Products FL# Model,Number or Name Descri tion 5012.1 CA-440"O" Vinyl Fixed Casement Limits of Use Certification Agency Certiflcate Approved for use in HVHZ: No FL5012 R9 C CAC 190-795CAR.odf Approved for use outside NVHZ:Yes FL5012 R9 C CAC 190-796CAR.�df Impact Resistant: No Quality Assurance Contract Expiration Date Desfgn Pressure: N/A 10/28/2015 Other: Please see the Installation Instrudions for Installation Instrudions design pressure,size and anchorage informatton. FL5012 R9 II CA-440 O.odf Verifled By: A. Lynn Mlller, PE 58705 Created by Independent Third Party: No Evaluation Reports FL5012 R9 AE Prod EvaI-CA-440 O.pdf Created b Independent Third Pa : No 5012.2 CA-540"O" WlnGuard Vinyl Fixed Casement Llmits of Use Certiflcatfon Agency Certificate Approved for use in HVHZ: No FL5012 R9 C CAC 190-270IG4R.odf Approved for use outside HVHZ:Yes FL5012 R9 C CAC 190-795CAR.pdf Impact Resistant:Yes FL5012 R9 C UC 190-796CAR.odf Design Pressure: N/A Quality Assurance Contract Expiration Date Other: Please see the Instal�ation Instructions for 10/28/2015 design pressure,size and anchorage information. Installatlon Instructions FL5012 R9 II CA-540 O.odf Ve�ifled By: A. Lynn Miller,PE 58705 Created by Independent Third Party: No Evaluation Reports FL5012 R9 AE Prod EvaI-CA-540 O.odf Created b Inde endent Third Pa : No 5012.3 CA-640"O" Aluminum Fixed Casement Limits of Use Certification Agency Certiflcate Approved for use in HVHZ: No FL5012 R9 C CAC 190-490CAR.�df Approved for use outstde HVHZ:Yes Quality Assurance Contrad Expiration Date Impact Resistant: No 02/25/2013 Design Pressure: N/A Installation Instructions Other: Please see the Installation Instructions for FL5012 R9 II CA-640-O.odf design pressure, size and anchorage informatlon. Verified By: A. Lynn Mfiier, PE 58705 Created by Independent Third Party. No Evaluation Reports FL5012 R9 AE Prod Eval-f 64U.pdf Created by Inde endent Third Party: No 5012.4 PW-220 formerl F-6000/6001 Aluminum Fixed Window Limits of Use Certiflcation Agency Certificate Approved for use In HVHZ: No FL5012 R9 C CAC PW-220 Certiflcations.�df Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/24/2013 Design Pressure: N/A Installation I�structions Other: Please see the Installatlon Instrudions for FL5012 R9 II PW-220.�df design pressure,sfze and anchorage information. Verified By: A. Lynn Mlller, PE 58705 Created by Independent Third Party: No Evaluation Reports FL5012 R9 AE Prod Eval PW-Y20.odf Created by Independent Third Party: No 5012.5 PW-420 Vinyl Fixed Window Limits of Use Certiflcation Agency Certificate Approved for use in HVHZ: No FL5012 R9 C CAC 190-423.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 08/01/2013 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtU0E2x88XL... 12/11/2012 Florida Building Code Online Page 3 of 4 Design Pressure: N/A Installation Instructions Other: Please see the Installation Instrudions for FL5012 R9 II PW-420.�df design pressure, size and anchorage Information. Verifled By: A. Lynn Miller, PE 58'705 Created by Independent Third Party: No Evaluation Reports FL5012 R9 AE Prod Eval PW-420.odf Created b Inde endent Third Pa : No 5012.6 PW-520 WinGuard Vin I Fixed Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5012 R9 C CAC Certification- PW-520 C.�df Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 08/15/2014 Design Pressure: N/A Instailation Instructions Other: Please see the Installation Instrudions for FL5012 R9 II PW-520.odf design pressure,size and anchorage information. Verified By: A. Lynn Miller, PE 58705 Created by Independent Third Party: No Evaluatfon Reports FL5012 R9 AE Prod EvaI-PW-520.odf Created by Independent Third Party: No 5012.7 PW-2300 Vin I Fixed Window with Inte ral Nailin Fin Limits of Use Certiflcation Agency Certificate Approved for use in HVHZ: No FL5012 R9 C CAC 190-457CAR.�df Approved for use outside HVH2:Yes FL5012 R9 C CAC 190-458CAR.�df Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: N/A O1/25/2014 Other: Please see the Installation Instrudions for Instailation Instructions deslgn pressure, size and anchorage information. FL5012 R9 II PW-2100.Ddf Verifled By: A. Lynn Miller, P.E. !i8705 Created by Independent Third Party: No Evaluation Reports FL5012 R9 AE Prod Eval-F 2100.odf Created by Independent Third Party: No 5012.8 PW-2160 Vinyl Fixed Window with Inte ral Nailin Fin Limits of Use Certification Agency Certificate Approved for use tn HVHZ: No FL5012 R9 C CAC 190-457CAR.odf Approved for use outside HVH2:Yes FL5012 R9 C CAC 190-458CAR.odf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: N/A OS/25/2014 Other: Please see the Installation Instructions for Instailation Instructions design pressure, size and anchorage information. FL5012 R9 II PW-2160.odf Verifled By: A. Lynn Miller, P.E. 58705 Created by IndependentThird Party• No Evaluation Reports FL5012 R9 AE Prod Eval-F 2160.odf Created by Independent Thfrd Party: No 5012.9 PW-2200 Vin I Fixed Window Limits of Use Certiflcation Agency Certiflcate Approved for use in HVHZ: No FL5012 R9 C CAC 190-709CAR.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/14/2013 Design Pressure: N/A Installation Instructions Other: Please see the Installation Instructlons for FL5012 R9 II PW-2200.�df design pressure, size and anchorage information. Verffled By: A. Lynn Mfller, P.E. 58705 Created by Independent Thfrd Party: No Evaluation Reports FL5012 R9 AE Prod Evdl PW-2200.Ddf Created by Independent Third Party: No 5012.10 PW-2260 Vlnyl Fixed Window Limits of Use Certiflcatlon Agency Certificate Approved for use in HVHZ: No FL5012 R9 C CAC 190-710CAR.pdf Approved for use outside HVHZ:Yes FL5012 R9 C CAC 190-711CAR.odf Impact Reslstant: No QuaUty Assurance Contract Expiration Date Design Pressure: N/A SO/14/2013 Other: Please see the Instailation Instructions for InsWllation Instructions design pressure,size and anchorage informatlon. FL5012 R9 II PW-2260.odf Verifled By: A. Lynn Miiler, P.E. 58705 Created by Independent Third F�arty: No Evaluation Reports FL5012 R9 AE Prod Eval PW-2260.odf Created by Independent Third Party: No 5012.11 PW-2320 Vin I Ffxed Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL5012 R9 C CAC 190-476CAR.odf http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtU0E2x£i 8XL... 12/11/2012 Florida Building Code Online Page 4 of 4 Approved for use outside HVHZ:Yes Quality Assurance Contrad Expiration Date Impact Resistant: No 02/04/2013 Design Pressure: N/A Installation Instrudions Other: Please see the Installation Instructions for FL5012 R9 II PW-2320.odf design pressure,size and anchorage Information. Verified By. A. Lynn Miller, P.E. 58705 Created by Independent Third Party: No Evaivation Reports FL5012 R9 AE Prod Eval PW-2320.�df Created by Independent Third Party: No 5012.12 PW-2720 PremierVue Vinyl Fixed Window Limits of Use Certificatlon Agency Certiflcate Approved for use in HVH2: No FL5012 R9 C CAC 190-253ICAR.pdf Approved for use outside HVHZ:Yes FL5012 R9 C CAC 190-254ICAR.�df Impact Resistant:Yes FL5012 R9 C CAC 190-760CAR.odf Design Pressure: N/A FL5012 R9 C CAC 190-761CAR.odf Other: Please see the Installation Instructions for Quality Assurance Contract Expiration Date design pressure,size and anchorage Information. 05/30/2014 Installation Instrudions FL5012 R9 II PW-2720.�df Verifled By:A. Lynn Mtller,P.E. 58705 Created by Independent Third Party: No Evaluatlon Reports FL5012 R9 AE Prod Eval-PW 2720b.odf Created b Independent Third Party: No 5012.13 PW-2820 PremieNue Vinyl Fixed Window Limits of Use Certtflcation Agency Certificate Approved for use in HVHZ: No FL5012 R9 C CAC Certifications PW-2820.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes O1/28/2014 Design Pressure: N/A Installation Instrudions Other: Please see the Installation Instructions for FL5012 R9 II PW-2820.odf design pressure,size and anchorage informatlon. Verifled By: A. Lynn Mlller, P.E. 'i8705 Created by IndependentThird Party: No Evaluation Reports FL5012 R9 AE Prod Eval PW-2820.�df Created by Independent Third Party: No 5012.14 PW-3020 Architectural Systems Aluminum Fixed Window Limits of Use Certification Agency Certtficate Approved for use in HVHZ: No FL5012 R9 C CAC Certifications.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 09/11/2014 Design Pressure: N/A Installatfon Instructions Other: Please see the Installation Instructions for FL5012 R9 II PW-3020.odf design pressure, size and anchorage Information. Verifled By: A. Lynn Mllier, PE 58705 Created by Independent Third Party: No Evaluation Reports FL5012 R9 AE Prod Eval PW-3U20.odf Created by Independent Third Party: No Back Next ContaR Us 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824 The SWte of Florida is an AA/EEO employer Coovriaht 2007-2010 State of Florida.: Privacv Statement AccessibilfN Statement Refund Statement Under Florida law,email addresses are public records.1f you do not want your e-mail address released in response to a public-records request,da no[ send electronic mail to this en[fry Instead,contaR the oRice by phone or by traditlonal mail.If you have any ques[lons,please contact 850.487.1395. *PUrsuant to Sec[lon 455.275(1),Florlda Stafutes,effective October 1,2012,1{censees Ilcensed u�der ChaDter 455,F.S.must proWde[he Department with an email address if they have one.The emails provided may be used for otflGal communicatlon with the Iicensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to[he public. To determine ff you are a Iicensee under CAapter 455,F.S.,please dick here Vroduct kpproval Acoapts: �� � � seCttrit aFx'rxK�' . � http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtU0E2x88XL... 12/11/2012 55z5t p�H1nr jo'LH3�li YGL1C U YIIY0110N :uqnn� al� AB n�L �\��\\\1'���,,/� arr�xae ro•e L4/6Z/80 DISMOS02!f N��� s�rt[v'37�K3n'N ..aa �wea ae v��� �a �e LL+�a �\ � ti�: ui 3.vao.�o�awrsu o[o� Z p � ?lf�0£9 b�ltJ F1M ��- � :a,� �--� �.J �VS 'WI�W a1nS 'NWS _ '`�. 6 J� p N011t�/�3l �Nt�S310N lb2l3N3�J .c w ° ,(� o Z��+ SNOII f1W 38f11 Wf1NIWfllb 1Nb'1SIS32!-l�ddWl� !Y y o� °n`�. ��w J 2 �j�a �Y � �C�. J�'' � �y'���nt1Q�0�� Q 0 wW W z� ~ � <° m N$ z o�� � � = u1 uZ 7Q � oN U UCN mG� J �m �� t'�n CT��i�������NrI` w y � z m �� � ., .h � . � i,; � i i �m� 4 �E � ��� ��� � bZ . 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LL � W Nl1� v $ .Ti S 3 � � P R 8 �i 8 � }3 z W C�L a < � °m 418ual1UYM F . »b.. . �,� ... _ __' — "'_�___o _"'_ _ _' � ` " " 4 i ` � � � �,� �y�,4� �,i�iiliill►idi'i�ri�r"Wa��� �.,,.� � � ,�,t,.nia;� BCIS Home Log In User Registrafion Hot Topics Submit Surcharge Stats&Facts Publica[ions FBC Staff BCIS Site Map Links Search `��it�v'.-�.::s . Busines �;��� _ Professi��a� Product Approval USER:Public User �@i�U�r�i1�;1 Product Ao�roval Menu>ProduR or Aoolicatiq,n Search>AoolicaUOn List>ApDlication Detail FL# FL13867-R3 '�' �� y ApplicationType Revision ���� Code Version 2010 Application Status Applied For Comments Reviewed 2/21/12, r-a 02/22/12 Archived _. Product Manufadurer PGT Industrfes Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext 22318 druark@pgti ndustries.com Authorized Signature Jens Rosowski jrosowskl@pgtindustries.com Technical Representative Jens Rosowski Address/Phone/Email 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext21140 jrosowski@pgtindustries.com Quality Assurance Representative Address/Phone/Email Catego ry W indows Subcategory Mulllons Compllance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who A. Lynn Miller developed the Evaluatlon Report Flortda License PE-58705 Quality Assurance Entity Keystone Certificatfons,Inc. Quality Assurance Contract Expiration Date 11/03/2013 Validated By Steven M. Urich, PE Validation Checklfst- Hardcopy Received Certificate of Independence FL13867 R3 COI Cert of Indeoendance- Miller.�df FL13867 R3 COI Cert of Indeoendance- Urich.�df Referenced Standard and Year(of Standard) Standard Year AAMA 450 2006 TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv%2bFd.42duxg... 4/18/2012 - -a- - --- - Sections from the Code Product Approval Method Method 1 Optio� D Date Submitted 02/10/2012 Date Validated Summary of Products FL# Model,Number or Name Description 13867 1 -Aluminum Tube Mullions Mullions for PGT Doors and Windows. Limits of Use Installation Instructions Approved for use in HVHZ: No FL33867 R3 II Tube Mullions.odf Approved for use outside HVHZ:Yes Verifled By: A. Lynn Mfller, P.E. 58705 Impact Resistant:Yes Created by Independent Third Party: No Design Pressure: N/A Evaluation Reports Other: See Installatfon Instructions for DP,anchorage FL13867 R3 AE Prod Eval -Standard Mulls,pdf and size Iimitations. Created by Independent Third Party• No Back Nert Contad Us::�940 North Monrce Street.Tallahassee FL 32399 Phone:850-487-1824 The State of Florida Is an AA/EEO employer co.±�d�h*2nn7-?010 S[a[e of Florida. Privacv Statement Accessibilitv Statemen[ Refund SWtement Under Florida law,e-mall addresses are public records.If you do no[want your e-mail address released in response to a public-records request,do not send elec[ronic mail to this entity Instead,wnWct the office by phone or by tradltional mail.If you have any questlons reqarding DBPR's ADA web accessibility,please contact our Web Master at webmasterC�dbor.state.fl.us. 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